Organization Active NPI

Rolando Sousa MD, PC

  • Neurology Physician
  • Hoboken, NJ
National Provider Identifier
1740508829
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ROLANDO SOUSA MD, PC
Practice address
330 Grand St
Hoboken, NJ 07030-2728
Phone
(973) 222-4653
Fax
(732) 391-5115
NPI assigned
May 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rolando Sousa, MDNPI 1144277211
Title
President
Phone
(973) 222-4653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

330 Grand St
Hoboken, NJ 07030-2728

Mailing address

330 Grand St
Hoboken, NJ 07030-2728
Phone (973) 222-4653

Other identifiers 1

IdentifierTypeStateIssuer
0092886MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1740508829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 GRAND ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302728",
            "telephone_number": "973-222-4653",
            "fax_number": "732-391-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 GRAND ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070302728",
            "telephone_number": "973-222-4653",
            "fax_number": "732-391-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLANDO SOUSA MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "SOUSA",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-222-4653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092886",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.